Healthcare Finance Staff

The ranks of Medicaid are reaching record levels, giving payers and providers, especially, new opportunities.

The backlash against narrow networks continues, as more displeased individual health consumers take their grievances to the courts of law and public opinion.

In bundled payments, where once there was so much promise, there is now conflicting evidence.

Conformity with CMS compliance guidance requires highly efficient communication and effective collaboration between a number of operative departments throughout a health plan.

The stakes for improvement and innovation are high in American cancer care, and insurers are trying to wield some of their influence to get a return on investment for their members and their budgets.

The Affordable Care Act's rate review is turning out well for consumers, according to the federal government, and although insurers may not be stoked about the new administrative work, it doesn't seem to be scaring them away.

A shrinking number of Medicare Part D drug plans is set to bring beneficiaries some more low-cost choices, but also some potentially confusing benefit designs.

Federal trade regulators have proven their willingness to go after hospital consolidation. Now, they're raising some new concerns about an up-and-coming insurer strategy.

Convincing electronic health record-reluctant physicians to get on board may have just gotten a little harder. That's because a technical glitch in the reporting system of the Centers for Medicare & Medicaid Services' meaningful use program may cost physicians millions of dollars in penalties.

With enrollment at an all-time high and only increasing, state Medicaid programs and the health plans they contract with need to prioritize a few key areas of the beneficiary experience.